Individual
DR. ELLIOT R ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3967
MN
152W00000X
Optometrist
OPC6924
FL
152W00000X
Optometrist
OPT.007454
OH
152W00000X
Optometrist
Primary
T005485
NY
Other
Enumeration date
01/11/2007
Last updated
05/12/2026
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